Organization
PARENT PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE MOUTON (PRESIDENT)
(855) 452-4522
Entity
Organization
Contact information
Practice address
1304 BERTRAND DR STE D5, LAFAYETTE, LA 70506-9104
(855) 452-4522
Mailing address
1304 BERTRAND DR STE D5, LAFAYETTE, LA 70506-9104
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
8790
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104066141
—
LA
Enumeration date
10/19/2017
Last updated
10/19/2017
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